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MedicaidAdministrativeMedium impact

MTM Health To Provide Medical Transportation for Medicaid Members

BCBS Illinois·IL·Government Programs
Effective date
Oct 1, 2026
We identified it
Jun 27, 2026
Days to comply
96 days

Summary

Effective October 1, 2026, MTM Health will replace Modivcare as the sole nonemergency medical transportation provider for Medicaid members. Eligible patients must contact MTM Health to request transportation services going forward, though recurring trips and pre-scheduled trips after Oct 1 will automatically transfer. The billing team should expect a transition in how transportation benefit claims are processed and routed.

Action Required

Before Oct 1, 2026
By September 1, 2026: Billing team must update internal records and documentation to reflect MTM Health as the new nonemergency medical transportation vendor for Medicaid members, replacing Modivcare. Front desk and patient support staff should be trained to direct eligible Medicaid patients to contact MTM Health directly at 877-831-3148, via their website, or through the MTM Link mobile app (Apple Store/Google Play) for transportation requests. Update patient education materials and intake forms to reference MTM Health. Establish new processes for claims submission and verification with MTM Health if applicable. Notify all clinical staff of the vendor change. Monitor for any billing system updates or connectivity requirements from MTM Health and implement before October 1, 2026 to ensure seamless claims processing.